NPI 1023046158

Thomas R Fairley, OD

Practitioner Optometrist Baton Rouge, LA

Practice location

Address: 9001 Summa Ave, Baton Rouge, LA 70809-3726
Phone: (225) 761-5200
Fax: (225) 761-5618

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1220-389T (LA)

Other Optometrist providers in Louisiana →

Registry record

NPI: 1023046158
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2006
Record last updated: 7 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.